Individual provider Active NPI

Dante P Sanchez, LCSW

  • Clinical Social Worker
  • Sonora, CA
National Provider Identifier
1679632731
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20410 Issued in CA
Practice address
101 S Forest Rd
Sonora, CA 95370-4895
Phone
(209) 588-9555
Fax
(209) 532-8782
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS20410 CA Primary

Addresses

Primary practice location

101 S Forest Rd
Sonora, CA 95370-4895

Mailing address

PO Box 455
Columbia, CA 95310-0455
Phone (209) 588-9555

Other identifiers 1

IdentifierTypeStateIssuer
LCS20410OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000992 CA Practitioner - Clinical Social Worker 4789620360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS20410CAMDClinical Social Worker
20410CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Medical Foundation CurrentSince Jan 10, 2023 Accepting new patients
Tahoe Carson Valley Medical Group Inc CurrentSince Jan 10, 2023 Accepting new patients

Locations

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660

1067 4th St
South Lake Tahoe, CA 96150
Phone (530) 600-1960

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1679632731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "COLUMBIA",
            "state": "CA",
            "postal_code": "953100455",
            "telephone_number": "209-588-9555",
            "fax_number": "209-532-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S FOREST RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704895",
            "telephone_number": "209-588-9555",
            "fax_number": "209-532-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "DANTE",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LCS20410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.